NRCME Post-test Questions
Study online at https://quizlet.com/_doa2b2
1. The FMCSA medical examiner should dis- MI, CHF with LVEF less than 40%, Pulmonary
qualify a driver if he or she has any of the Hypertension, or Atrial fibrillation
following clinical diagnosis:
Pulmonary Hypertension, Hypertrophic Car-
diomyopathy, Restrictive Cardiomyopathy or
CHF with LVEF of 50%
Atrial Flutter, Ventricular Tachycardia, or Pul-
monary Embolism
**Hypertrophic Cardiomyopathy, Restrictive
Cardiomyopathy or CHF with LVEF less than
40%
2. When should a driver who is prescribed When taking medication for treatment post
anticoagulation therapy be disqualified? cerebrovascular accident (CVA)
3. How long should a driver status-post per- 1 month
manent pacemaker (PPM) insertion sec-
ondary to sinus node dysfunction wait
before certification/recertification for duty
can be considered?
4. A CMV driver who has an implantable car- Disqualified
dioverter-defibrillator (ICD) can be certi-
fied for how long when he or she has clear-
ance from a cardiologist indicating that the
driver is fit for duty?
5. A driver candidate presents to your office Carry an epinephrine injection device in the
for a new medical certification. In his med- truck cab.
ical history he notes he has an allergy to
, NRCME Post-test Questions
Study online at https://quizlet.com/_doa2b2
bee stings. Following his most recent bee
sting he developed symptoms of anaphy-
laxis including angioedema, throat tight-
ness, and dyspnea. What is one effective
preventive measure the medical examiner
should advise the driver to undertake?
6. The medical examiner is determining fit- Qualify the driver for a period of two years as
ness for duty for a driver candidate with a the asthma is well controlled.
history of asthma. The driver is using an al-
buterol inhaler three times daily for treat- **Disqualify the driver and have them return
ment of intermittent dyspnea and wheez- to their primary care provider for re evalua-
ing. The medical examiner should: tion of their asthma treatment regimen.
Qualify the driver for a period of one year as
they will require more frequent monitoring.
Refer the driver for pulmonary function test-
ing.
7. The medical examiner should refer a driver History of any specific lung disease
for pulmonary function testing (PFT) when
they present with which of the following: Symptoms of shortness of breath, cough,
chest tightness, or wheezing
Cigarette smoking in drivers 35 years of age
or older
**All of the above
8. When assessing a driver with a suspect- Cigarette smoking
ed diagnosis of chronic obstructive pul-
Study online at https://quizlet.com/_doa2b2
1. The FMCSA medical examiner should dis- MI, CHF with LVEF less than 40%, Pulmonary
qualify a driver if he or she has any of the Hypertension, or Atrial fibrillation
following clinical diagnosis:
Pulmonary Hypertension, Hypertrophic Car-
diomyopathy, Restrictive Cardiomyopathy or
CHF with LVEF of 50%
Atrial Flutter, Ventricular Tachycardia, or Pul-
monary Embolism
**Hypertrophic Cardiomyopathy, Restrictive
Cardiomyopathy or CHF with LVEF less than
40%
2. When should a driver who is prescribed When taking medication for treatment post
anticoagulation therapy be disqualified? cerebrovascular accident (CVA)
3. How long should a driver status-post per- 1 month
manent pacemaker (PPM) insertion sec-
ondary to sinus node dysfunction wait
before certification/recertification for duty
can be considered?
4. A CMV driver who has an implantable car- Disqualified
dioverter-defibrillator (ICD) can be certi-
fied for how long when he or she has clear-
ance from a cardiologist indicating that the
driver is fit for duty?
5. A driver candidate presents to your office Carry an epinephrine injection device in the
for a new medical certification. In his med- truck cab.
ical history he notes he has an allergy to
, NRCME Post-test Questions
Study online at https://quizlet.com/_doa2b2
bee stings. Following his most recent bee
sting he developed symptoms of anaphy-
laxis including angioedema, throat tight-
ness, and dyspnea. What is one effective
preventive measure the medical examiner
should advise the driver to undertake?
6. The medical examiner is determining fit- Qualify the driver for a period of two years as
ness for duty for a driver candidate with a the asthma is well controlled.
history of asthma. The driver is using an al-
buterol inhaler three times daily for treat- **Disqualify the driver and have them return
ment of intermittent dyspnea and wheez- to their primary care provider for re evalua-
ing. The medical examiner should: tion of their asthma treatment regimen.
Qualify the driver for a period of one year as
they will require more frequent monitoring.
Refer the driver for pulmonary function test-
ing.
7. The medical examiner should refer a driver History of any specific lung disease
for pulmonary function testing (PFT) when
they present with which of the following: Symptoms of shortness of breath, cough,
chest tightness, or wheezing
Cigarette smoking in drivers 35 years of age
or older
**All of the above
8. When assessing a driver with a suspect- Cigarette smoking
ed diagnosis of chronic obstructive pul-
